How much rates vary
Facilitymedian $23 · 10th to 90th $2 to $83Professionalmedian $23 · 10th to 90th $13 to $47
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $9.12 Median $10.00 Typical High $10.00 | Facility | None | $9.12 | $10.00 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $10.00 Typical High $19.05 | Professional | None | $9.12 | $10.00 | $19.05 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $6.76 Median $7.59 Typical High $14.13 | Professional | UE · Used equipment | $6.76 | $7.59 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.95 Median $51.29 Typical High $109.65 | Facility | None | $1.95 | $51.29 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $43.65 | Professional | None | $18.20 | $23.99 | $43.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.82 Median $2.45 Typical High $4.37 | Professional | RR · Rental | $1.82 | $2.45 | $4.37 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $13.80 Median $18.20 Typical High $34.67 | Professional | UE · Used equipment | $13.80 | $18.20 | $34.67 |
Blue Shield Setting Facility Modifier None Typical Low $32.36 Median $48.98 Typical High $77.62 | Facility | None | $32.36 | $48.98 | $77.62 |
Blue Shield Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $138.04 | Professional | None | $23.44 | $33.11 | $138.04 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | None | $26.30 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $25.70 | Professional | None | $17.78 | $21.38 | $25.70 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | RR · Rental | $1.38 | $1.38 | $1.38 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | UE · Used equipment | $10.23 | $10.23 | $10.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $31.62 | Professional | None | $26.30 | $31.62 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $39.81 | Professional | None | $19.95 | $23.44 | $39.81 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $2.00 Median $2.34 Typical High $3.98 | Professional | RR · Rental | $2.00 | $2.34 | $3.98 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $17.38 Typical High $28.84 | Professional | UE · Used equipment | $15.14 | $17.38 | $28.84 |
Providence Setting Facility Modifier None Typical Low $10.47 Median $21.38 Typical High $33.88 | Facility | None | $10.47 | $21.38 | $33.88 |
Providence Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $21.38 | Professional | None | $17.78 | $21.38 | $21.38 |
Providence Setting Professional Modifier RR · Rental Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | RR · Rental | $1.38 | $1.38 | $1.38 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | UE · Used equipment | $10.23 | $10.23 | $10.23 |
Sutter Health Plus Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $6.03 | $6.03 | $6.03 |
Sutter Health Plus Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $12.30 Median $15.85 Typical High $79.43 | Professional | None | $12.30 | $15.85 | $79.43 |
United Setting Professional Modifier RR · Rental Typical Low $1.26 Median $1.58 Typical High $8.71 | Professional | RR · Rental | $1.26 | $1.58 | $8.71 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.33 Median $12.02 Typical High $64.57 | Professional | UE · Used equipment | $9.33 | $12.02 | $64.57 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier KE · Bid item, non-bid base Typical Low $21.38 Median $25.12 Typical High $41.69 | Professional | KE · Bid item, non-bid base | $21.38 | $25.12 | $41.69 |
Kaiser Permanente Setting Professional Modifier KU · Bidding program group 3 Typical Low $19.95 Median $23.44 Typical High $38.90 | Professional | KU · Bidding program group 3 | $19.95 | $23.44 | $38.90 |
Sutter Health Plus Setting Professional Modifier KE · Bid item, non-bid base Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | KE · Bid item, non-bid base | $64.57 | $64.57 | $64.57 |
Sutter Health Plus Setting Professional Modifier KU · Bidding program group 3 Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | KU · Bidding program group 3 | $61.66 | $61.66 | $61.66 |
Where California sits
The same service costs 2.3 times more in Hawaii than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 26th of 51
$23.44
HI $35.48NM $15.14
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.